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Senior Voice AI Engineer — HIPAA-Compliant AI Receptionist Platform
Senior Voice AI Engineer — HIPAA-Compliant AI Receptionist Platform
AIspire360 Inc's logo

Senior Voice AI Engineer — HIPAA-Compliant AI Receptionist Platform

Amit Mohan's profile picture
Posted by Amit Mohan
3 - 10 yrs
₹10L - ₹30L / yr
Remote only
Skills
Artificial Intelligence (AI)
HIPAA
Backend testing
API management

Company: AISpire360 Role: Senior Voice AI Engineer (Independent Contractor, Full-Time Engagement) Location: Remote (India-based preferred; must overlap 4–6 hours daily with London + US Eastern) Engagement: Full-time independent contractor — long-term Compensation: Competitive, paid in USD, monthly. Senior staff-level rates.

About AISpire360

We are building the operating system for medical practices in the US. Our flagship product is ARIA, an AI receptionist that handles inbound and outbound calls, intake, scheduling, eligibility, prior authorization workflows, and after-hours coverage for medical practices. We are in active production deployment with our first practice — a spine surgery practice at the Hospital for Special Surgery in New York. Multiple specialty practices are in our deployment pipeline.

The platform is built to be specialty-agnostic. The voice agent stack is the universal foundation. Knowledge layers (spine surgery, primary care, behavioral health, dermatology, cardiology, pediatrics, etc.) plug in as configuration. One platform, many specialties.

We are venture-backed, founder-led, and shipping. The technical decisions you make here will be in production within weeks.

What You'll Own

You are the technical anchor for the voice agent. You will be responsible for:

Real-time voice system

  • Voice agent stack on ElevenLabs Conversational AI (and evaluation of Retell, Vapi, LiveKit alternatives as we scale)
  • STT and TTS configuration, voice tuning, language and accent handling
  • Turn-taking, barge-in, end-of-speech detection, latency budgets
  • Driving end-to-end voice latency below 700ms (we currently target 600ms)
  • Quality vs. cost tradeoffs across voice tier selection (Premium / Turbo / Standard)
  • Silence-detection optimization for outbound calls (95% silence-discount realization)

HIPAA + PHI infrastructure

  • BAA-compliant hosting architecture (AWS-based, BAA in place)
  • PHI detection and redaction pipeline (AWS Comprehend Medical + custom pre-filters)
  • Encryption in transit and at rest, audit logging, 7-year retention compliance
  • Access controls, RBAC, kill-switch infrastructure
  • HIPAA Security Rule compliance for technical safeguards

Agent orchestration and tools

  • LLM integration (GPT-4o, Claude Sonnet, with model routing for cost optimization)
  • Tool calling for scheduling, eligibility checks, prior auth lookups, calendar booking, task creation
  • Multi-turn conversation state management
  • Multi-topic call handling and structured task generation
  • Safety-critical keyword detection and escalation routing

Integrations

  • EHR integration (Epic, Athena, eClinicalWorks — at least one in V1)
  • Insurance eligibility APIs (Availity, Change Healthcare, payer-specific)
  • Calendar integration (Google Calendar, Microsoft 365, Cal.com)
  • SMS and email gateways (Twilio, SendGrid)
  • Practice-specific webhooks for task manager surfacing

Multi-tenant platform foundations

  • Per-practice configuration loading (specialty profile + practice profile)
  • Per-tenant isolation, data segregation
  • Specialty-specific intake schemas, triage rules, safety keywords
  • Production observability (tracing, metrics, latency monitoring per practice)

Required Experience

You should be able to demonstrate, in a live walkthrough with code in hand, that you have shipped production voice AI systems. Specifically:

  • 3+ years of production voice/conversational AI experience. Not chatbots — actual real-time voice agents handling live phone calls. ElevenLabs, Retell, Vapi, LiveKit, OpenAI Realtime, Deepgram, or equivalent.
  • Deep familiarity with at least 2 of: ElevenLabs Conversational AI, Retell AI, Vapi, LiveKit Agents, OpenAI Realtime API. Production deployment experience required, not demo experience.
  • HIPAA and PHI handling experience in production. Not theoretical. You have signed BAAs, deployed in HIPAA-compliant environments, and built PHI redaction pipelines.
  • AWS infrastructure expertise. Specifically: ECS or Fargate, Lambda, S3 with encryption, KMS, CloudWatch, IAM, VPC, BAA-eligible service selection.
  • AWS Comprehend Medical or equivalent PHI detection experience.
  • Twilio or equivalent telephony provider experience. SIP trunking, inbound/outbound call flows, recording and transcription pipelines.
  • Latency optimization in real-time systems. You have hit sub-700ms voice latency in production and can explain the trade-offs you made.
  • LLM production experience. GPT-4o, Claude, or equivalent. Prompt engineering, tool calling, structured outputs, model routing for cost.
  • Python or TypeScript fluency. Production code, not scripts.
  • API integration experience. REST, webhooks, OAuth, async patterns. Bonus if you've integrated with EHRs (Epic FHIR, Athena, eClinicalWorks).

Nice to Have

  • Healthcare domain experience (EHRs, clinical workflows, medical terminology)
  • Prior auth or eligibility verification workflow experience
  • Multi-tenant SaaS architecture experience
  • SOC 2 audit experience
  • Experience with knowledge graphs (PostgreSQL + pgvector, Neo4j, or similar)
  • Open-source contributions to LangChain, LiveKit, Pipecat, or similar voice/agent frameworks
  • Demonstrated ability to ship to production fast (not perfectionism — pragmatic engineering)

What This Engagement Looks Like

  • Independent contractor. You invoice us monthly. We pay in USD via wire transfer or Wise.
  • Full-time engagement. This is your primary work. We expect ~40 hours/week of focused output.
  • Long-term. We are not looking for a 3-month engagement. Expect this to run 12+ months.
  • You sign a BAA with us. This is non-negotiable due to the nature of the work.
  • You are eligible for future equity grants as we formalize the team structure.
  • Direct working relationship with our CTO (London-based) and founders (NYC and India).
  • Time-zone overlap required: at least 4–6 hours of daily overlap with both London and US Eastern. Indian Standard Time evenings (6 PM IST onward) work well.

How We'll Evaluate You

Our hiring process is fast and substantive. No take-homes. No multi-round bureaucracy.

  1. Initial screen (30 min): Background, what you've shipped, compensation expectations, BAA-readiness.
  2. Technical deep-dive (90 min): Walk us through a production voice AI system you've shipped. Code in hand. Architecture diagrams. Real production numbers — latency, cost per call, scale. We will ask follow-up questions about specific decisions you made.
  3. System design (90 min, live): We give you a design problem — a HIPAA-compliant voice agent for a medical specialty we don't yet support. You design end-to-end on a whiteboard / Excalidraw. We probe trade-offs.
  4. Founders + CTO conversation (60 min): Mutual fit. You ask us hard questions. We answer honestly.

Total: 4–5 hours of your time. We'll move from first conversation to offer in 7–10 days for the right candidate.

What We Will NOT Accept

  • Take-home assignments produced by other AI tools. We will ask you to walk through code live; if you can't explain decisions you didn't make, the interview ends.
  • Resume claims you can't substantiate. We verify employment via EPFO/UAN where applicable.
  • "I've done LLM chatbots" experience without production voice agent experience. They are not the same skill.
  • Engagement structures that conflict with this being your primary work.

How to Apply

Send a brief message with:

  1. A link to a production voice AI system you've shipped (or, if NDA'd, a description of the architecture and your specific contribution).
  2. Two or three sentences on why this role fits you specifically — not a generic cover letter.
  3. Your current compensation expectation in USD per month.
  4. Your earliest start date and current time-zone availability.

We read every message. We respond within 5 business days, including with "no" answers. We don't ghost.


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About AIspire360 Inc

Founded :
2025
Type :
Products & Services
Size :
0-20
Stage :
Bootstrapped

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ROLES AND RESPONSIBILITIES


As a Full Stack Developer at GoQuest Media, you will play a key role in building and maintaining

web applications that deliver seamless user experiences for our global clients. From

brainstorming features with the team to executing back-end logic, you will be involved in every

aspect of our application development process.

You will be working with modern technologies like NodeJS, ReactJS, NextJS, and Tailwind CSS

to create performant, scalable applications. Your role will span both front-end and back-end

development as you build efficient and dynamic solutions to meet the company’s and users’

needs.


What will you be accountable for?

● End-to-End Development:

● Design and develop highly scalable and interactive web applications from scratch.

● Take ownership of both front-end (ReactJS, NextJS, Tailwind CSS) and back-end

(NodeJS) development processes.

● Feature Implementation:

● Work closely with designers and product managers to translate ideas into highly

interactive and responsive interfaces.

● Maintenance and Debugging:

● Ensure applications are optimized for performance, scalability, and reliability.

● Perform regular maintenance, debugging, and testing of existing apps to ensure

they remain in top shape.

● Collaboration:

● Collaborate with cross-functional teams, including designers, product managers,

and stakeholders, to deliver seamless and robust applications.

● Innovation:

● Stay updated with the latest trends and technologies to suggest and implement

improvements in the development process.


Tech Stack

● Front-end: ReactJS, NextJS, Tailwind CSS

● Back-end: NodeJS, ExpressJS

● Database: MongoDB (preferred), MySQL

● Version Control: Git

● Tools: Webpack, Docker (optional but a plus)


Preferred Location

This role is based out of our Andheri Office, Mumbai.


Growth Opportunities for You

● Lead exciting web application projects end-to-end and own key product initiatives.

● Develop cutting-edge apps used by leading media clients around the globe.

● Gain experience working in a high-growth company in the media and tech industry.

● Potential to grow into a team lead role.


Who Should Apply?

● Individuals with a passion for coding and web technologies.

● Minimum 3-5 years of experience in full-stack development using NodeJS, ReactJS,

NextJS, and Tailwind CSS.

● Strong understanding of both front-end and back-end development and ability to

write efficient, reusable, and scalable code.

● Familiarity with databases like MongoDB and MySQL.

● Experience with CI/CD pipelines and cloud infrastructure (AWS, Google Cloud) is a

plus.

● Team players with excellent communication skills and the ability to work in a

fast-paced environment.


Who Should Not Apply?

● If you're not comfortable with both front-end and back-end development.

● If you don’t enjoy problem-solving or tackling complex development challenges.

● If working in a dynamic, evolving environment doesn’t appeal to you.

Read more
Webtiga Private limited
HR Webtiga
Posted by HR Webtiga
Bengaluru (Bangalore)
8 - 15 yrs
Best in industry
Artificial Intelligence (AI)
llm
Technical Architecture

We are looking for an AI Architect to join our team.


Responsibilities


  • Architecture Design: Develop scalable and efficient AI architectures.
  • Technical Guidance: Provide expertise and guidance to development teams.
  • System Integration: Collaborate to integrate AI technologies into systems.
  • Performance Optimization: Optimize AI models and infrastructure.
  • Data Management: Manage large datasets for AI training.
  • Ethical Considerations: Address ethical and privacy concerns.
  • Technical Documentation: Create comprehensive technical documentation.
  • Collaboration and Communication: Collaborate with stakeholders.
  • Problem-Solving: Analyze and troubleshoot technical issues.
  • Continuous Learning: Stay updated with AI advancements.

Requirements

  • Education: Bachelors or masters degree in computer science or related field.
  • Experience: 8+ years of experience with 3+ years as an architect. Extensive experience in Gen AI and LLM technologies, including exposure to open source LLMs is a must.
  • Technical Expertise: Proficiency in NLP, machine learning, and deep learning. Familiarity with open source LLM frameworks like GPT-3/4 or similar models.
  • Architectural Design: Ability to design scalable and efficient AI architectures.
  • System Integration: Skill in integrating AI technologies, including open source LLMs, into new or existing systems.
  • Performance Optimization: Experience in optimizing AI models and systems, including open source LLMs, for efficiency.
  • Data Management: Knowledge of handling large datasets for Gen AI and LLM training, including open source LLMs.
  • Ethical Considerations: Understanding of AI ethics and privacy concerns, particularly relevant to open source LLMs.
  • Collaboration and Communication: Strong teamwork and communication skills.
  • Problem-Solving: Aptitude for troubleshooting and resolving technical challenges related to open source LLMs.
  • Continuous Learning: Willingness to stay updated with advancements in Gen AI, LLMs, and open source LLM technologies.


Read more
Leading IT MNC.
Leading IT MNC.
Agency job
Chennai
7 - 15 yrs
₹13L - ₹18L / yr
apigee
API management
api gateway
Scalability
Architecture
+6 more
Hi,

We are looking out APIgee professionals for Manager - APIgee developement position.

Job description as follows:-

8-10 years overall experience in supporting middleware technologies or relevant experience.
* Excellent knowledge on API management using APIgee, API gateway. Dealing with API deployment, scalability, security. Monitoring.
* Good understanding component architecture
* Excellent knowledge on API documentation
* Knowledge on complete API Lifecycle Management including release & deployment, management and creation of APIs is must have
* Assist in the configuration, installation, and troubleshooting of a software rollout.
* Reviews design documents and provides feedback on approach and estimates.
Read more
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